Le psoriasis ndi matenda osachiritsika omwe sangachiritsidwe, chifukwa chake simuyenera kukhala otsimikiza kuti ziphuphu sizidzabweranso. Komabe, ndizotheka kuthetsa vuto la zizindikiro kugwiritsa ntchito bwino mankhwala osokoneza bongo ntchito zotupa. Cholinga ndikuchepetsa kuchuluka kwa zikwangwani ndi kubwereranso pafupipafupi, koma ndizovuta kukwaniritsa kusowa kwawo kwathunthu. Kungakhale kofunikira kuyesa mankhwala angapo musanapeze omwe akugwira ntchito. Ndikofunikanso kutsatira pafupipafupi chithandizo chamankhwala ndikutsatira malangizo a dokotala, ngakhale zitakhala zopanikiza, ngati akufuna kupeza zotsatira zabwino.

Mankhwalawa makamaka amatengera kugwiritsa ntchito magetsi ndi D 'mafuta odzola pa mbale. Nthawi zina, mankhwala amphamvu kwambiri amatha kugwiritsidwa ntchito pochepetsa kuchuluka kwa khungu, kuphatikiza phototherapy kapena mankhwala akumwa. Komabe, khungu limatha kulimbana ndi chithandizo pakapita nthawi.

Zodzola ndi zodzola

Nthawi zonse, zonunkhira kapena zotulutsa mafuta zitha kukhala zothandiza pochepetsa kuyabwa ndi khungu la hydrate louma ndi matenda komanso kugwiritsa ntchito mafuta odzola pafupipafupi. Sankhani chinyezi pakhungu lanu.

Ngati zizindikirozo ndizofatsa kapena zochepa, dermatologist nthawi zambiri imakulemberani mafuta apakhungu cholinga chake ndikuchepetsa kutupa.

Izi nthawi zambiri zimakhala mafuta a corticosteroid kapena mafuta retinoids (tazarotene, Tazorac® ku Canada, Zorac® ku France), kuyika payokha kapena kuphatikiza. Kirimu ya Calcipotriol (Dovonex® ku Canada, Daivonex® ku France, yomwe nthawi zambiri imagwirizanitsidwa ndi topical corticosteroid, ku Daivobet® ku France), yotengedwa ndi vitamini D, imagwiritsidwanso ntchito kuchepetsa kuchuluka kwa maselo mu epidermis. Mafuta a Corticosteroid sayenera kugwiritsidwa ntchito kwa nthawi yayitali chifukwa cha chiopsezo chaZotsatira zoyipa (kutayika kwa pigmentation, kupatulira khungu, ndi zina zotero) komanso kuchepa kwa mankhwalawa. Pali zotupa za corticosteroid komanso ma shamposi pazilonda zam'mutu.

Phototherapy ndi PUVA-therapy

Mankhwala opepuka amaphatikizapo kuwonetsa khungu mphezi zowotcha (UVB kapena UVA). Amagwiritsidwa ntchito ngati psoriasis imaphimba gawo lalikulu la thupi kapena ngati kuwotcha kumachitika pafupipafupi. Magetsi a ultraviolet amachepetsa kuchuluka kwa maselo ndikuchepetsa kutupa.

Magetsi awa amatha kuchokera kuzinthu zosiyanasiyana:

• Ziwonetsero zazifupi, tsiku lililonse ku dzuwa. Pewani kuwonetsedwa kwanthawi yayitali, komwe kumatha kukulitsa zizindikilo. Funsani dokotala wanu;
• Chida chowunikira ma radiation a UVB otakata kapena opapatiza;
• Kuchokera pachida cha laser cha excimer. Magetsi a UVB ndiye amphamvu kwambiri, koma chithandizochi chikuyesabe²⁴.

Phototherapy imagwiritsidwa ntchito limodzi ndi mankhwala am'kamwa kapena apakhungu omwe amatulutsa khungu pakuthana ndi cheza cha ultraviolet: izi zimatchedwa chithunzichimiothérapie. Mwachitsanzo, a Thandizo la PUVA Kuphatikiza kupezeka kwa kunyezimira kwa UVA ndi psoralen, chinthu chomwe chimapangitsa khungu kumvetsetsa kuwala. Psoralen imayendetsedwa pakamwa kapena kumizidwa mu "bafa" musanayang'ane ndi UVA. Zowopsa kwakanthawi kochepa ka mankhwala a PUVA ndizochepa. M'kupita kwanthawi, zitha kukulitsa chiopsezo cha khansa yapakhungu. Kuti muchiritse psoriasis yayikulu, muyenera kuchita magawo angapo pa sabata, pafupifupi milungu isanu ndi umodzi yotsatizana.

Mankhwala apakamwa

Pa mitundu yayikulu komanso yowopsa ya psoriasis, mankhwala omwe amaperekedwa pakamwa kapena jakisoni amapatsidwa:

• The retinoids (acitretin kapena Soriatane®), nthawi zambiri kuphatikiza ndi calipotriol kapena topical corticosteroids. Zotsatira zoyipa ndizouma kwa khungu ndi mamina. Mankhwalawa ndiwonso owopsa kwa mwana wosabadwayo ali ndi pakati ndipo amayenera kumwedwa ndi kulera koyenera.
• Le mankhwala methotrexate or cyclosporine zomwe zimachepetsa zochitika za chitetezo (immunosuppressant) ndipo ndi othandiza kwambiri, koma omwe amasungidwa magawo azachipatala ochepa chifukwa cha zovuta zoyipa (kuwonongeka kwa chiwindi ndi impso, chiopsezo chowonjezereka cha matenda).

Ngati mankhwala ena alephera, mankhwala omwe amatchedwa "kwachilengedwe" (adalimumab, etanercept, infliximab) atha kugwiritsidwa ntchito.